Medical Center Staff Advisory Council
Grant Application 2016
Welcome to MCSAC’s 2016 Grant Application Funding process! We are excited to receive your
project for consideration. Over the years, MCSAC’s funded countless projects within VUMC to
improve the lives of our patients, caregivers, faculty, and staff. We feel honored to make this
great contribution to Vanderbilt.

This year, MCSAC created a PDF “fill-in form” for ease of completion.

If for any reason, you are unable to complete the PDF process, please contact
lynn.booker@vanderbilt.edu. MCSAC will consider special circumstances.

On the grant proposal, you will be asked to indicate the following:
o Grant Aim (3 Aims total)
o Overall proposal strategy, timeline, and impact
Note: to ensure a level “playing field” for all applications, each proposal will be no longer
than 4 pages, including the cover-title page.

MCSAC will fund as many applications, as possible, but as funds are limited, we will be
unable to accept any applications for projects or programs over $1,000.

MCSAC grant awards may not be used for any of the following: routine department
items, renovation of physical facilities, telephone services, laboratory or office furniture,
membership dues, professional subscriptions, recruiting fees, maintenance contracts,
computer equipment, personnel salary support.
1. By MAY 31, 2016, applications should be sent electronically to
MCSAC@VANDERBILT.EDU and enter “Grants” in the Subject line of the email.
2. By JULY 15, 2016, the MCSAC Grants Committee will present the Committee’s 2016
recommendations to the Council and begin advising award recipients.
3. By AUGUST 31, 2016, MCSAC will disburse grant funds to recipients.
Post-Award Process:
1) Note: When MCSAC funds a proposal, MCSAC requests either a report of
progress/accomplishment or an “in person” presentation to the Council. This allows
each grant recipient to share the project’s valuable contribution to VUMC with MCSAC.
MCSAC will notify each grant recipient of the specific process post-award.
2) Please make available digital photos of the project and exercise care and use caution
when photographing patients and other individuals, whom require Consent Forms, etc.
If you elect to photo individuals, then each MCSAC grant recipient is responsible for
securing the correct Vanderbilt authorization. Please be advised these digital photos
may be uploaded to the MCSAC website.
Please enter your initials to acknowledge your full understanding of item #2
above: _____________
Medical Center Staff Advisory Council
Grant Application 2016
APRIL 1 – MAY 31, 2016
Title of Project:
_____________________________
Program Director:
_____________________________
Department Contact:
(If different from Program Director)
_____________________________
Name:
_____________________________
Name:
_____________________________
E-mail Address:
_____________________________
E-mail Address:
_____________________________
Title: _________________________
Title: _________________________
Department:
_____________________________
Department:
______________________________
_____________________________
______________________________
Campus Address:
_____________________________
Campus Address:
______________________________
Telephone Number:
_____________________________
Telephone Number:
______________________________
Fax: _________________________
Fax: ___________________
Is this your first application to MCSAC?
□ Yes
□ No
If No, was your previous application funded?
□ Yes
□ No
If applicable, please indicate the previous funded project? _________________________
If accepted, what Cost Center Number should MCSAC be prepared to transfer to?
__________________________________
Medical Center Staff Advisory Council (MCSAC) 2016 Grant Application
Medical Center Staff Advisory Council
2016 MCSAC GRANT PROPOSAL
1. Departmental Description (briefly, please tell us who are you and what do you do):
2. Project Proposal:
Aim #1Aim #2Aim #33. Describe proposal’s overall strategy, timeline, and impact to the Vanderbilt
community:
4. Amount of Request:
5. Budget (provide as much detail as possible):
6. Other Funding / Resources: List other sources of funding/resources for this request.
Please indicate if external funding/resources have been received, committed, or
projected/pending:
7. Could project be advanced or completed with partial funding? □ Yes
Medical Center Staff Advisory Council (MCSAC) 2016 Grant Application
□ No
Medical Center Staff Advisory Council
MCSAC GRANT COMMITTEE MEMBERS
Below is the scoring criteria for grants:
1- Does not meet criteria/was outside the scope of our program (these include declination
items listed on the grant application)
2- Meets criteria, moderately strong application, fund if possible
3- Meets criteria, strong application, recommend funding (100% or partial)
Medical Center Staff Advisory Council (MCSAC) 2016 Grant Application